<!DOCTYPE html>
<html lang="en">
<head>
  <meta charset="UTF-8">
  <title>Title</title>
  <link rel="stylesheet" href="../../../static/css/bootstrap.min.css"/>
</head>
<body>
<div class='row'>
  <h2 class=" text-center">
    患者详情
  </h2>
  <br>
  <div id="queryinput" class="container-fluid">
    <div class="row-fluid">
      <div class="span6">
        <form class="form-horizontal contract-form">
          <div class="form-group">
            <label class="col-sm-3 control-label">编号</label>
            <div class="col-sm-2">
              <input id="mem_id" name="id" type="text" class="form-control contact-name-input" v-model="item.id"
                     readonly/>
            </div>
            <label class="col-sm-2 control-label">联系人</label>
            <div class="col-sm-2">
              <input id="linkman" name="linkman" type="text" class="form-control contact-name-input" v-model="item.id"/>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-3 control-label">姓名</label>
            <div class="col-sm-2">
              <input id="username" name="name" type="text" class="form-control contact-name-input" v-model="username"/>
            </div>
            <label class="col-sm-2 control-label">住址</label>
            <div class="col-sm-4">
              <input type="text" id="address" name="address"
                     class="form-control contact-name-input"/>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-3 control-label">出生日期</label>
            <div class="col-sm-2">
              <input type="text" id="birthday" name="birthday" class="form-control contact-name-input"/>
            </div>
            <label class="col-sm-2 control-label">电子邮箱</label>
            <div class="col-sm-2">
              <input type="text" id="mail" name="mail"
                     class="form-control contact-name-input"/>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-3 control-label">性别</label>
            <div class="col-sm-2">
              <input type="radio" id="sex" name="sex" value="man" v-model="picked">
              <label for="sex">男</label>
              &nbsp; &nbsp; &nbsp;
              <input type="radio" id="sex2" name="sex" value="woman" v-model="picked">
              <label for="sex2">女</label>
            </div>

            <label class="col-sm-2 control-label">联系电话</label>
            <div class="col-sm-2">
              <input type="text" id="phone" name="phone"
                     class="form-control contact-name-input"/>
            </div>
          </div>

          <div class="row-fluid">
            <div class="col-sm-12">
              <h4 class="page-header">
                基本生理信息
              </h4>
            </div>
          </div>

          <div class="form-group">
            <label class="col-sm-3 control-label">体重(Kg)</label>
            <div class="col-sm-1">
              <input type="text" id="weight" name="weight"
                     class="form-control contact-name-input"/>
            </div>
            <label class="col-sm-3 control-label">身高(cm)</label>
            <div class="col-sm-1">
              <input type="text" id="heigh" name="heigh" class="form-control contact-name-input"/>
            </div>
          </div>

          <div class="row-fluid">
            <div class="col-sm-12">
              <h4 class="page-header">
                最近检查记录
              </h4>
            </div>
          </div>

          <div class="form-group">
            <label class="col-sm-3 control-label">责任医师</label>
            <div class="col-sm-1">
              <input type="text" id="doctor" name="doctor" class="form-control contact-name-input"/>
            </div>

            <label class="col-sm-3 control-label">检查日期</label>
            <div class="col-sm-1">
              <input type="text" id="checkdate" name="checkdate" class="form-control contact-name-input"/>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-3 control-label">检查方式</label>
            <div class="col-sm-1">
              <input type="text" id="checktype" name="checktype" class="form-control contact-name-input"/>
            </div>

            <label class="col-sm-3 control-label">检查地点</label>
            <div class="col-sm-1">
              <input type="text" id="checkaddress" name="checkaddress" class="form-control contact-name-input"/>
            </div>
          </div>
            <a class="col-sm-offset-3 col-sm-3" href="/report" v-on:click="onEditItem(item)">检查报告</a>

          <div class="row-fluid">
            <div class="col-sm-12">
              <h4 class="page-header">
                历史检查记录和数据
              </h4>
            </div>
          </div>

        </form>
      </div>
    </div>
  </div>
</div>
<script src="../../../node_modules/jquery/dist/jquery.min.js"></script>
<script src="../../../node_modules/bootstrap/dist/js/bootstrap.min.js"></script>
<script src="../../../node_modules/vue/dist/vue.js"></script>
<script src="../../../node_modules/vue-resource/dist/vue-resource.js"></script>
</body>
</html>
